CHAPTER 667

1 CHAPTER 667 HOSPITAL STANDARDS AVAILABLE ONLINE AT: COPY Rules Effective: September 11, 2015 Medical Facilities Service 1000 N. E. 10th Street oklahoma City, OK 73117-1299 Telephone Important Reminder Please remember that laws and rules are subject to change throughout the calendar year. The oklahoma State Department of Health attempts to provide the most current unofficial laws and rules in this booklet, but changes may occur within months or even weeks of the printing date. Several sites on the Internet make up-to-date laws and rules available free of charge. The official rules are published in The oklahoma Administrative Code and The oklahoma Register, as required by 75 , Section 250 et seq. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.

2 oklahoma laws, including pending legislation, are available through the oklahoma Legislative Information Service at: The oklahoma State Department of Health makes detailed information available by facility types at Select the Program icon and then look for the listing of regulated entities under Protective Health Services.. This publication, printed by Protective Health Services, was issued by the oklahoma State Department of Health as authorized by Terry Cline, PhD, Commissioner. 30 copies were printed in October 2015 at a cost of $.00. Copies have been deposited with the Publications Clearinghouse of the oklahoma Department of 310:667 oklahoma STATE DEPARTMENT OF HEALTH 1 September 11, 2015 TITLE 310. oklahoma STATE DEPARTMENT OF HEALTH CHAPTER 667.

3 HOSPITAL STANDARDS "Unofficial Version" Provisions310 Rights310 With Federal, State, & Local Laws310 Body310 Staff310 Improvement310 Control310 Service310 And Nutritional Services310 Records Department310 Distribution310 And Treatment Services310 Services310 Department310 Services310 Work Services310 Requirements - Psychiatric310 Requirements Rehabilitation310 Nursing Units310 Access Hospital310 Hospital310 Construction Provisions310 Requirements310 Medical Surgical Hospital ConstructionRequirements310 Hospital And RehabilitationUnit Construction Requirements310 Hospital Construction Requirements310 Requirements For Critical AccessHospitals310 Requirements for Emergency Hospitals310 Treatment Program Standards310 of Hospital Emergency Services310:667-59-1 OAC 310:667 oklahoma STATE DEPARTMENT OF HEALTH 2 September 11, 2015 Appendix A Ventilation Requirements For Areas Affecting Patient Care In Hospitals And Outpatient FacilitiesAppendix B Station Outlets For Oxygen, Vacuum (Suction), And Medical Air Systems in HospitalsAppendix CSound Transmission Limitations In General HospitalsAppendix D Filter Efficiencies For Central Ventilation And Air Conditioning Systems In General HospitalsAppendix EHot Water Use - General Hospital[Authority: oklahoma State Board of Health; 63 Sections 1-104, 1-705, and 1-707] [Source: Codified June 26, 1995] OAC 310:667 oklahoma STATE DEPARTMENT OF HEALTH 3 September 11, 2015 SUBCHAPTER 1.

4 GENERAL PROVISIONS Section 310:667-1-1. Purpose 310:667-1-2. Definitions 310:667-1-3. Licensure 310:667-1-4. Enforcement 310:667-1-5. Purpose, authority and indoor tobacco smoke 310:667-1-1. Purpose The purpose of this CHAPTER is to provide rules for hospitals as required by 63 1991, 1-705. [Source: Added at 12 Ok Reg 1560, eff 4-12- 95 (emergency); Added at 12 Ok Reg 2429, eff 6-26- 95; Amended at 17 Ok Reg 2992, eff 7-13- 00] 310:667-1-2. Definitions The following words and terms, when used in this CHAPTER , shall have the following meaning, unless the context clearly indicates otherwise. "Addition" means an extension or increase in floor area or height of a building structure. "Administrator" means the chief executive officer for the hospital.

5 "Advanced practice nurse" means a licensed registered nurse recognized by the oklahoma Board of Nursing as an advanced practice nurse. Advanced practice nurses shall include advanced registered nurse practitioners, clinical nurse specialists, certified nurse midwives, and certified registered nurse anesthetists. "Automatic" means providing a function without the necessity of human intervention. "Building" means a structure used or intended for supporting or sheltering any use or occupancy. The term "building" shall be construed as if followed by the words "or portions thereof." "Chemical restraint" means the use of a medication for the purpose of discipline, convenience, or in an emergency situation to control mood or behavior and not required to treat a patient's condition.

6 "Combustible" means capable of undergoing combustion. "Critical Access Hospital" means a hospital determined by the State Department of Health to be a necessary provider of health care services to residents of a rural community [63 Supp. 1999, 1-701(a)(4)]. "Department" means the oklahoma State Department of Health. "Emergency hospital" means a hospital that provides emergency treatment and stabilization services on a 24-hour basis that has the ability to admit and treat patients for short periods of time [63 , 1- 701(a)(5)]. "Existing facility" means licensed hospitals that are in existence or have had final drawings for construction approved by the Department at the date this CHAPTER become effective. A general medical surgical hospital that converts to a critical access hospital shall be considered an existing facility.

7 "General hospital" means a hospital maintained for the purpose of OAC 310:667 oklahoma STATE DEPARTMENT OF HEALTH 4 September 11, 2015 providing hospital care in a broad category of illness and injury {63 1991, 1-701(a)(1)}. "General medical surgical hospital" means a general hospital that provides medical and surgical procedures. "Governing body" means the person(s) having ultimate responsibility, including fiscal and legal authority for the hospital. "Hospital" means any institution, place, building, or agency, public or private, whether organized for profit or not, devoted primarily to the maintenance and operation of facilities for the diagnosis, treatment, or care of patients admitted for overnight stay or longer in order to obtain medical care, surgical care, obstetrical care, or nursing care for illness, disease, injury, infirmity, or deformity.

8 All places where pregnant females are admitted and receive care incident to pregnancy or delivery shall be considered to be a "hospital" within the meaning of this publication regardless of the number of patients received or the duration of their stay. The term "hospital" includes general medical surgical hospitals, specialized hospitals, critical access and emergency hospitals, and birthing centers [63 Supp. 1999, 1-701(a)]. "Hospital campus" means inpatient and/or outpatient facilities located at different addresses operated under a common hospital license issued by the Department. "Licensed independent practitioner" means any individual permitted by law and by the licensed hospital to provide care and services, without direct supervision, within the scope of the individual's license and consistent with clinical privileges individually granted by the licensed hospital.

9 Licensed independent practitioners may include advanced practice nurses with prescriptive authority, physician assistants, dentists, podiatrists, optometrists, chiropractors, and psychologists. "Licensed practical nurse" means a person currently licensed to practice practical nursing in oklahoma . "Licensed/registered dietitian" means a person who is registered as a dietitian by the American Dietetic Association and is currently licensed as a dietitian in oklahoma . "Licensure" means the process by which the Department grants to persons or entities the right to establish, operate, or maintain any facility. "Occupancy" means the purpose for which a building or portion thereof is used or intended to be used. "Pharmacist" means a person who is currently registered by the oklahoma State Board of Pharmacy to engage in the practice of pharmacy.

10 "Physical restraint" means any manual method or physical or mechanical device, material or equipment attached or adjacent to a patient's body that the patient cannot remove easily, that is not used for the purpose of therapeutic intervention or body alignment as determined by the patient's physician or licensed independent practitioner, and which restricts the patient's desired freedom of movement and access to his or her body. "Physician" means a doctor of medicine ( ) or osteopathy ( ) currently licensed to practice medicine and surgery in oklahoma . "Physician assistant" means an individual licensed as a physician assistant in oklahoma . OAC 310:667 oklahoma STATE DEPARTMENT OF HEALTH 5 September 11, 2015 "Practitioner" means a dentist, podiatrist, chiropractor, optometrist, physician assistant, psychologist, certified nurse mid-wife, advanced registered nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, physical therapist, occupational therapist, pharmacist, social worker or other individual currently licensed or authorized to practice as a medical professional in oklahoma .